Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.87 / $2,145.78 / $7,838.38	Facility		$162.87	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.74 / $153.36 / $262.27	Professional		$100.74	$153.36	$262.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.84 / $571.41 / $931.11	Facility		$155.84	$571.41	$931.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $125.15 / $234.68	Professional		$72.31	$125.15	$234.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.90 / $169.86 / $263.14	Professional		$111.90	$169.86	$263.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $105.80 / $249.55	Professional		$27.95	$105.80	$249.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.73 / $156.50 / $263.26	Facility		$98.73	$156.50	$263.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $188.89 / $300.12	Professional		$125.93	$188.89	$300.12
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.06 / $237.15 / $327.25	Professional		$166.06	$237.15	$327.25